Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.40 / $1,706.00 / $4,473.00	Facility		$442.40	$1,706.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $402.08 / $1,283.00	Professional		$235.80	$402.08	$1,283.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $273.87 / $421.85	Professional		$204.78	$273.87	$421.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $502.86 / $502.86	Facility		$502.86	$502.86	$502.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.27 / $433.72 / $721.80	Professional		$246.27	$433.72	$721.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $381.26 / $702.86	Professional		$3.00	$381.26	$702.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $983.93 / $983.93	Facility		$983.93	$983.93	$983.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $317.72 / $760.46	Professional		$2.04	$317.72	$760.46
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,709.00 / $4,661.00	Facility		$408.00	$1,709.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.55 / $526.08 / $826.97	Professional		$386.55	$526.08	$826.97